Presentation clinical audit
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This document discusses clinical audits and the process for conducting them. It explains that a clinical audit committee comprised of hospital administrators and department heads meets monthly to review patient cases, seek ways to improve care, and address quality issues. The committee keeps discussions secret and communicates important findings to relevant departments to take corrective action. It also emphasizes the importance of complete and accurate medical records for facilitating clinical audits. The clinical audit process involves measuring current performance levels, making improvements, sustaining enhancements, and ongoing monitoring and evaluation.
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Clinical Audit
This document discusses clinical audits, including definitions, history, types of audits, and the audit cycle. It defines a clinical audit as a quality improvement process that systematically reviews care against criteria to implement changes. The first known clinical audit was conducted by Florence Nightingale during the Crimean War. Key points made include that audits seek to improve patient care and outcomes, while research examines whether the right processes are being followed. The document also provides a case study example of "The Great Coffee Audit" to illustrate how an audit was conducted to address doctors' dissatisfaction with the temperature of their coffee.
Clinical audit presentation
This document discusses the process of clinical auditing. It begins by defining clinical auditing as a quality improvement process that systematically reviews patient care against criteria to implement changes that improve outcomes. It then outlines the key stages of clinical auditing: choosing a topic by identifying an area for improvement; establishing criteria and standards; collecting and analyzing data; identifying if standards were met and reasons for any gaps; developing an action plan; and re-auditing to assess if improvements were achieved. The goals of clinical auditing are to ensure best practices are followed, reduce risks, and improve patient care.
Clinical audit
This document outlines the clinical audit process which involves systematically reviewing patient care against criteria to improve outcomes. It discusses selecting an audit topic focused on processes related to common conditions or procedures. Best practice standards are identified from guidelines and literature. The audit process involves forming a team, setting aims and standards, collecting and analyzing quantitative and qualitative data from a sample, implementing changes, and re-auditing to confirm improvements. Data collection involves designing a questionnaire and obtaining department approval and ethics approval.
Clinical audit by Dr A. K. Khandelwal
Clinical Audit is a method of confirming the quality of clinical services and identify the need for improvement. A skill hospital administrator should learn and practice.
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This document provides an overview of clinical audit, including:
- The definition and purpose of clinical audit as evaluating care against criteria to implement improvements.
- The history of audit beginning in ancient times and early examples from Florence Nightingale.
- The five stages of the audit cycle: preparing, setting criteria, measuring performance, making improvements, and sustaining changes.
- Key aspects like defining measurable criteria and standards, collecting and analyzing data, identifying barriers, and monitoring ongoing performance.
Clinical audit is presented as a tool to systematically review quality of care and ensure best practices are implemented to improve patient outcomes.
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Clinical audit
Florence Nightingale undertook the first clinical audit during the Crimean War by reviewing conditions in British hospitals and identifying issues like contaminated water and inadequate sanitation. She implemented changes that reduced the death rate of British soldiers from 40% to 2% within six months. Clinical audits now systematically compare current practices to standards to improve patient care and outcomes. They highlight both deficiencies and best practices, promote evidence-based changes, and reinforce quality improvement as a core part of healthcare systems and professional responsibilities. The audit cycle involves identifying issues, setting criteria and standards, collecting data, identifying areas for improvement, implementing changes, and re-auditing to continue enhancing care.
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Clinical audit is a quality improvement process that systematically reviews and compares current clinical practice to standards of best practice in order to improve patient care and outcomes. It involves measuring actual practice against agreed standards, identifying any gaps, and implementing changes to close those gaps. The clinical audit cycle includes identifying a topic, setting standards, collecting data on current practice, comparing this to standards, implementing changes, and re-auditing to ensure improvements are sustained. Clinical audit aims to improve services for patients, support lifelong learning for healthcare professionals, and help meet national quality standards.
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Clinical Audit
This document discusses clinical audits, including definitions, history, types of audits, and the audit cycle. It defines a clinical audit as a quality improvement process that systematically reviews care against criteria to implement changes. The first known clinical audit was conducted by Florence Nightingale during the Crimean War. Key points made include that audits seek to improve patient care and outcomes, while research examines whether the right processes are being followed. The document also provides a case study example of "The Great Coffee Audit" to illustrate how an audit was conducted to address doctors' dissatisfaction with the temperature of their coffee.
Clinical audit presentation
This document discusses the process of clinical auditing. It begins by defining clinical auditing as a quality improvement process that systematically reviews patient care against criteria to implement changes that improve outcomes. It then outlines the key stages of clinical auditing: choosing a topic by identifying an area for improvement; establishing criteria and standards; collecting and analyzing data; identifying if standards were met and reasons for any gaps; developing an action plan; and re-auditing to assess if improvements were achieved. The goals of clinical auditing are to ensure best practices are followed, reduce risks, and improve patient care.
Clinical audit
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- The definition and purpose of clinical audit as evaluating care against criteria to implement improvements.
- The history of audit beginning in ancient times and early examples from Florence Nightingale.
- The five stages of the audit cycle: preparing, setting criteria, measuring performance, making improvements, and sustaining changes.
- Key aspects like defining measurable criteria and standards, collecting and analyzing data, identifying barriers, and monitoring ongoing performance.
Clinical audit is presented as a tool to systematically review quality of care and ensure best practices are implemented to improve patient outcomes.
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Florence Nightingale undertook the first clinical audit during the Crimean War by reviewing conditions in British hospitals and identifying issues like contaminated water and inadequate sanitation. She implemented changes that reduced the death rate of British soldiers from 40% to 2% within six months. Clinical audits now systematically compare current practices to standards to improve patient care and outcomes. They highlight both deficiencies and best practices, promote evidence-based changes, and reinforce quality improvement as a core part of healthcare systems and professional responsibilities. The audit cycle involves identifying issues, setting criteria and standards, collecting data, identifying areas for improvement, implementing changes, and re-auditing to continue enhancing care.
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A product is defined as a collection of tangible and intangible attributes that provide satisfaction to users. Key product decisions include design, production, launch location, product mix, and specifications. Design decisions involve initial or changed designs. Production decisions cover manufacturing processes. Launch decisions consider local, international, multinational, or global markets. The product mix encompasses breadth, depth, consistency, and inconsistency of product lines. Additional decisions involve packaging, labeling, branding, and adapting to cultural requirements.
Ethics in marketing
Ethics in marketing is important to build trust with stakeholders, create a positive brand image, and avoid legal issues. Unethical practices can damage a brand's reputation. There are many ethical issues to consider across the four P's of marketing: product quality and safety, deceptive pricing strategies, unfair distribution practices, and misleading advertising. Both businesses and government share responsibility for ethical marketing and protecting consumers. Upholding strong ethics in areas like marketing research is also crucial for serving customers responsibly.
Social marketing
Social marketing is the application of commercial marketing principles and techniques to promote socially beneficial behaviors. It aims to influence voluntary behavior change in target audiences to improve personal and public welfare. Formative research is conducted to understand the target audience and factors influencing their behaviors. A strategy is then developed and interventions are designed, implemented, and evaluated to promote acceptance and adoption of the socially beneficial behavior. Challenges to social marketing include a heterogeneous consumer base, expensive media costs, poor execution, and policy decisions that can limit product strategy flexibility. Social marketing in healthcare can influence consumer decision making through reinforcement of messages by trusted healthcare practitioners.
Marketing channel
Wholesalers purchase goods in large quantities from manufacturers and sell them in smaller quantities to retailers. They act as intermediaries in the marketing channel. Key tasks of wholesalers include assembling, warehousing, transporting, taking orders, financing, bearing risk, and packing goods. There are different types of wholesalers such as merchant wholesalers, full service wholesalers, and brokers. Retailers are the last link in the distribution channel and sell products directly to consumers. Consumers consider factors like price, location, product variety, and customer service when deciding which retailer to purchase from. Common types of retailers include department stores, supermarkets, warehouse retailers, and specialty retailers.
Environment protection act 1986
The Environment Protection Act 1986 establishes a legal framework for environmental protection in Western Australia. It provides for the prevention, control and abatement of pollution and environmental harm through licensing of activities that may have detrimental effects. The Act and its regulations aim to protect the environment through setting standards and guidelines for air, water, noise and waste management.
Office automation system
Office automation systems use computers and software to digitally manage office tasks like document creation, data storage, and information sharing. They allow tasks to be automated and make work more efficient. Key applications of office automation include data processing, digital information management, and information exchange. It emphasizes replacing manual tasks with automated computer processes. Common functions integrated by office automation systems are electronic publishing, communication, collaboration, imaging, and office management. This helps optimize existing office procedures through sophisticated electronic equipment and networks.
Bio medical waste management and handling rules 1998
Bio Medical Waste is any waste that is generated during diagnosis, treatment or immunization of human beings or animals or in research activities pertaining thereto or in the production or testing of biologicals. The Bio Medical Waste Management and Handling Rules 1998 were introduced by the Government of India under the Environment (Protection) Act, 1986, to ensure proper segregation, collection, storage, transportation, treatment and disposal of bio medical waste. These rules apply to all persons who generate, collect, receive, store, transport, treat, dispose or handle bio medical waste in any form.
Rights of the unborn child
The document discusses several topics related to medical records and rights. It begins by discussing the rights of unborn children to exist without discrimination based on gender. It notes that while women have reproductive rights, those rights transfer to the unborn child once conceived.
It then provides details on medical records, including their components, uses, labeling, numbering systems, and functions of the medical records department. It outlines the process for completing records, releasing information for legal cases, and preparing records for court.
Guidelines are provided on retention periods for different types of medical records. The roles and responsibilities of the medical records committee and officer are defined. Quality indicators for evaluating the medical records department are listed. Brief definitions of related topics like
The kerala shops and commercial establishments act
The Kerala Shops and Commercial Establishments Act of 1960 regulates working conditions in shops, commercial establishments, and other workplaces in Kerala. It sets rules for things like working hours, holidays, and welfare measures for employees. The Act aims to balance the interests of employees and employers in Kerala's commercial sectors.
Bio medical waste management and handling rules 1998
The document provides guidelines for managing hospital waste according to the World Health Organization. It discusses proper handling, storage, treatment, transport, and disposal of hospital waste. It emphasizes the importance of staff training, proper personal protective equipment, immunization, and monitoring worker health and safety to prevent injury and exposure when handling hospital waste.
Factories ac1
The document summarizes key provisions of the Factories Act, 1948 in India relating to labor welfare. It outlines facilities that must be provided in factories like washing facilities, clothing storage, seating, first aid, canteens, shelters, creches, and appointment of welfare officers. It also describes duties of the occupier to ensure worker health and safety, provide required facilities, disclose information, and appoint safety officers in certain factories. The duties of the factory manager are also summarized.
Medical termination of pregnancy act 1971
The Medical Termination of Pregnancy Act of 1971 provides the legal framework for abortions in India by specifying the conditions under which pregnancies can be terminated, who is authorized to perform terminations, and where they can be performed. The Act aims to allow abortions by registered medical practitioners to be done safely and delegates authority over abortions to central and state governments. It specifies that pregnancies can be terminated if continuing the pregnancy risks the woman's life or health, if the fetus has physical or mental abnormalities, in cases of rape, or contraceptive failure in married women. Only registered medical practitioners with the required training and experience working in government-approved facilities can terminate pregnancies legally under the Act.
Clinical trials
Clinical trials are research studies involving human subjects that systematically investigate the safety and efficacy of new drugs. They aim to answer scientific questions and translate basic research results into better ways to prevent, diagnose, or treat diseases by generating safety and efficacy data for health interventions. Clinical trials are a key part of drug development and medical research.
Drugs
The Drugs & Cosmetics Act of 1940 established rules for licensing authorities, drug inspectors, and controlling authorities to regulate the import and sale of drugs and cosmetics in India. Key provisions include requirements for licensing authorities and inspectors to have qualifications in pharmacy or medicine. Inspectors are responsible for inspecting licensed establishments, ensuring license conditions are followed, investigating complaints, and maintaining records. The import of certain drug classes like misbranded, substandard, or spurious drugs is prohibited. Conditions for licensing the import of biological, narcotic, and Schedule X drugs as well as drugs for examination, personal use, and manufacturing are outlined. Cosmetics containing harmful ingredients or exceeding limits for heavy metals are also prohibited
The payment of bonus act
The Payment of Bonus Act, 1965 was enacted to provide for the payment of an annual bonus to employees in certain establishments based on profits or productivity. Some key points of the act include:
- It applies to factories and establishments with 20 or more employees
- Eligible employees must have worked at least 30 days in a year to receive bonus
- Bonus is to be calculated based on a formula and must fall within a minimum and maximum percentage of salary
- The act aims to impose liability on employers to pay bonus and provide mechanisms for addressing disputes.
Dying declaration
Dying declaration refers to a statement made by a person who believes they are dying about the cause of their impending death. It is considered reliable evidence in court under Indian law. A dying declaration must be recorded carefully, with questions and responses documented, in the presence of witnesses. It can be recorded by a magistrate, doctor, or other official if a magistrate is unavailable. The recorder must verify that the declarant is mentally sound and coherent. While a primary use is for murder cases, dying declarations must only describe the cause of the declarant's own death to be admissible in court.
Minimum wages act
The Minimum Wages Act was passed in 1948 and has the objective of providing a minimum wage to workers in scheduled employments to prevent exploitation. It aims to empower the government to set and revise minimum wages in a timely manner. The Act applies to most organized sector jobs and mandates that skilled and unskilled laborers must be paid no less than the set minimum wage, which is reviewed every 5 years. It outlines the process for fixing minimum wages, including constituting committees with equal employer and employee representation, and revising the wages.
Certification of death
There are three types of death defined in the document: somatic, molecular, and legal death. Legal death in India means the permanent disappearance of all signs of life after birth according to the Registration of Births and Deaths Act. The Transplantation of Human Organs Act further defines brain-stem death. A doctor is required to issue a death certificate listing the immediate cause of death and any significant contributing conditions based on their examination or information from relatives if no examination was possible. The certificate must be filed within 7 days without fee.
Informed consent
The document discusses the concept and practice of informed consent in clinical contexts. It covers informed consent from legal, ethical, and administrative perspectives. Legally, informed consent aims to protect patient autonomy and self-determination. Ethically, it seeks to make the medical decision-making process more patient-centered. Administratively, signed consent forms are used to document that a consent process occurred. The document also outlines common elements of informed consent discussions, including diagnosis, treatment options, risks/benefits, alternative treatments, and prognosis.
Industrial disputes act
The document discusses the Industrial Disputes Act of 1947 in India. Some key points:
- The Act defines an industrial dispute as any dispute between employers and employees regarding employment, work conditions, or terms of employment.
- The objectives of the Act are to provide machinery for settling disputes peacefully and promote good relations between employers and employees.
- Industrial disputes can be settled through conciliation, arbitration, adjudication by labor courts, tribunals, or the National Tribunal. Conciliation involves a neutral party helping the disputing parties reach an agreement.
- If conciliation fails, the dispute may be referred to arbitration, where an arbitrator makes a binding decision. As a last resort, labor
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Presentation clinical audit
- 2. 2
- 5. It provides the mechanism for reviewing the quality of everyday care provided to patients with common condition. It builds on a long history of doctors , nurses and other healthcare professionals reviewing case notes and seeking ways to serve their patients better. It addresses quality issues systematically and explicitly, providing reliable information. It can confirm the quality of clinical services and highlight the need for improvement.
- 6. 6
- 7. The members of the committee are Hospital Administration officer, In charge MRD , Nursing Supdt , Head of Surgery, Medicine, Gynae Caulity , Anaes, Radiology…… The committee to once a month on fixed day. Preparation of Agenda and records by member secretary. Discussions are kept secret. The important findings are communicated to concern department to take remedial action.
- 8. All the junior staff to be trained and retrained how to fill up the medical records. All the medical records must be complete on all aspects before sending to record department . Records to be properly tied up, coded and indexed month wise / disesase wise for easy retrieval . A complete and correct medical record is the back bone of clinical audit.
- 12. 12
- 21. 3. MEASURING LEVEL OF PERFORMANCE
- 26. 26
- 28. 28 MONITORING AND EVALUATION: Monitor and evaluate the change Maintain and reinforce the change REINFORCING IMPROVEMENT Reinforcing or motivating factors by the management. Integrating of audit as part of regular practice. Strong leadership and high motivation.
- 29. 29 Review evidence Measure effectiveness Decide how often to re-audit Ongoing process monitoring Adverse incidents Significant events audit